Kentucky Ginseng
General
past current
|Poor appetite | | |
|Excessive appetite | | |
|Change in appetite | | |
|Fatigue | | |
|Fevers | | |
|Night sweats | | |
|Sweat easily | | |
|Chills | | |
|Poor coordination | | |
|Insomnia | | |
|Strong Thirst | | |
|Other:_______________ | | |
Skin and Hair
past current
|Rashes | | |
|Hives | | |
|Itching | | |
|Eczema | | |
|Pimples | | |
|Dryness | | |
|Tumors, Lumps | | |
|Other:_______________ | | |
Head/Neck/Eyes/Ears
past current
|Dizziness | | |
|Fainting | | |
|Neck stiffness | | |
|Headaches/Migranes | | |
|Poor memory | | |
|Concussion(s) | | |
|Blurred vision | | |
|Visual changes | | |
|Poor night vision | | |
|Spots in eyesight | | |
|Cataracts | | |
|Glasses/contacts | | |
|Eye Inflammation | | |
|Ear infection | | |
|Ringing | | |
|Decreased hearing | | |
|Other:______________ | | |
Nose/Throat/Mouth
past current
|Nose bleeds | | |
|Sinus infection | | |
|Hay fever or allergies | | |
|Frequent sore throats | | |
|Grinding teeth | | |
|Difficulty swallowing | | |
|Dry mouth/throat | | |
|Teeth problems | | |
|Copious saliva | | |
|Facial pain | | |
|Gum problems | | |
Respiratory
past current
|Asthma | | |
|Bronchitis | | |
|Frequent colds | | |
|Pneumonia | | |
|Emphazema | | |
|Cough | | |
|Coughing blood | | |
|Production of phlegm | | |
|Other:_______________ | | |
Cardiovascular
past current
|High Blood Pressure | | |
|Low Blood Pressure | | |
|Blood clots | | |
|Palpitations | | |
|Phlebitis | | |
|Chest pain | | |
|Irregular heart beat | | |
|Cold Hands/Feet | | |
|Swelling of Hands/Feet | | |
|Other:_______________ | | |
Gastro-Intestinal
past current
|Nausea | | |
|Vomiting | | |
|Belching | | |
|Bad breath | | |
|Indigestion | | |
|Gas | | |
|Constipation | | |
|Diarrhea | | |
|Blood in stools | | |
|Black stools | | |
|Rectal pain | | |
|Hemorrhoids | | |
|Pain or cramping | | |
|Gall bladder disorder | | |
|Other:_______________ | | |
Musculo-Skeletal
past current
|Injury | | |
|Joint pain | | |
|Muscular pain | | |
|Back pain | | |
|Localized weakness | | |
|Strain | | |
|Broken bone(s) | | |
|Atrophy | | |
|Other:_______________ | | |
Gynecology
past current
|Frequent UTIs | | |
|Vaginal infection(s) | | |
|Genital pain/itching | | |
|Abnormal Pap smear | | |
|Irregular periods | | |
|Painful menstruation | | |
|Premenstrual syndrome | | |
|Abnormal bleeding | | |
|Menopause syndrome | | |
|Breast lumps | | |
|Other:_______________ | | |
Male Reproductive
past current
|Genital pain/itching | | |
|Genital lesions | | |
|Weak urinary stream | | |
|Lumps in testicles | | |
|Impotence | | |
|Other:_______________ | | |
Genito-Urinary
past current
|Pain on urination | | |
|Frequent urination | | |
|Urgency to urinate | | |
|Unable to hold urine | | |
|Blood in urine | | |
|Kidney stones | | |
|Other:_______________ | | |
Neurological
past current
|Seizures | | |
|Tremors | | |
|Numbness/Tingling | | |
|Pain | | |
|Paralysis | | |
|Other:_______________ | | |
Psychological
past current
|Depression | | |
|Anxiety/Stress | | |
|Panic attacks | | |
|Addictions | | |
|Eating disorder | | |
|Irritability | | |
|Anger | | |
|Treated for emotional/ | | |
|psychological issues | | |
|Other:_______________ | | |
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